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Implications of Foot Ulceration in Hemodialysis Patients: A 5-Year Observational Study
Joint Authors
Koshy, Valsa
Hussein, Ahmed
Sharaf, Ahmed
Sadek, Ahmed
Asim, Mohammad
El-Menyar, Ayman
al-Thani, Hassan A.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-03-03
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Foot ulceration (FU) remains a serious concern for patients worldwide.
We analyzed the incidence, risk factors, and outcome of FU in hemodialysis (HD) patients.
A retrospective cohort study was conducted for 252 HD patients who were followed up for 5 years.
Patients were categorized according to whether they developed FU or not.
The FU group (17%) was older and had significantly higher incidence of nephropathy, retinopathy, peripheral (PAD), coronary artery disease (CAD), and diabetes mellitus (DM) as compared to no-FU group.
FU group had higher frequency of major amputation ( P = 0.001 ) and HD vascular access ( P = 0.01 ).
Patients with combined DM and PAD had a 10-fold increased risk of FU in comparison to those who had DM alone.
Presence of PAD was the main independent predictor for development of FU in HD with an adjusted odd ratio (aOR) of 16.0 (95% CI: 4.41–62.18; P = 0.001 ).
After adjusting for age, sex, and CAD, predictors for mortality were PAD (aOR 4.3), FU (aOR 3.6), and DM (aOR 2.6).
FU is common in HD patients regardless of DM.
However, the presence of PAD is significantly associated with more FU and mortality in HD.
HD patients need intensive foot care and warrant progressive modification of vascular risk factors.
American Psychological Association (APA)
al-Thani, Hassan A.& El-Menyar, Ayman& Koshy, Valsa& Hussein, Ahmed& Sharaf, Ahmed& Asim, Mohammad…[et al.]. 2014. Implications of Foot Ulceration in Hemodialysis Patients: A 5-Year Observational Study. Journal of Diabetes Research،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-1040401
Modern Language Association (MLA)
al-Thani, Hassan A.…[et al.]. Implications of Foot Ulceration in Hemodialysis Patients: A 5-Year Observational Study. Journal of Diabetes Research No. 2014 (2014), pp.1-6.
https://search.emarefa.net/detail/BIM-1040401
American Medical Association (AMA)
al-Thani, Hassan A.& El-Menyar, Ayman& Koshy, Valsa& Hussein, Ahmed& Sharaf, Ahmed& Asim, Mohammad…[et al.]. Implications of Foot Ulceration in Hemodialysis Patients: A 5-Year Observational Study. Journal of Diabetes Research. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-1040401
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1040401